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Individual

CHERYL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2052 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
3031 YOUNG AVE, BRONX, NY 10469-5106
(347) 869-7118

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
321776
NY

Other

Enumeration date
04/20/2015
Last updated
04/20/2015
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